Marquis Autumn Hills Memory Care - Portland Nursing Home
General Information
UPDATEFederal Provider Number
38A026
Provider Name
MARQUIS AUTUMN HILLS MEMORY CARE
Provider Address
6630 SW BVTRN-HILLS HWY
PORTLAND, OR 97225
PORTLAND, OR 97225
Provider Phone Number
(503) 292-7874
Provider SSA County
330
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
39
Number of Residents in Certified Beds
38
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-05-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13816
Reported LPN Staffing Hours per Resident per Day
0.38947
Reported RN Staffing Hours per Resident per Day
0.81579
Reported Licensed Staffing Hours per Resident per Day
1.20526
Reported Total Nurse Staffing Hours per Resident per Day
4.34342
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.70608
Expected LPN Staffing Hours per Resident per Day
0.57747
Expected RN Staffing Hours per Resident per Day
0.72356
Expected Total Nurse Staffing Hours per Resident per Day
4.00710
Adjusted CNA Staffing Hours per Resident per Day
2.84548
Adjusted LPN Staffing Hours per Resident per Day
0.55979
Adjusted RN Staffing Hours per Resident per Day
0.84245
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36922
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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